FIGURE SUMMARY
Title

Effectiveness of add-on acetazolamide in children with drug-resistant CHD2-related epilepsy and in a zebrafish CHD2 model

Authors
Melikishvili, G., Striano, P., Shojeinia, E., Gachechiladze, T., Kurua, E., Tabatadze, N., Melikishvili, M., Koniashvili, O., Khachiashvili, G., Epitashvili, N., Rimma, G., Belyaev, O., Tomenko, T., Kharytonov, V., Guliyeva, U., Esguerra, C.V., Crawford, A.D., Dulac, O.
Source
Full text @ Epilepsia Open

EEG on intermittent photic stimulation (10 Hz), before (A) and on (B) acetazolamide. Amplitude 10 mv/mm, sweep 30 mm/s, low-pass filter −0.5 Hz, high-pass filter −70 Hz.

Antisense knockdown of chd2 in zebrafish larvae—morphological and electrophysiological analysis (A) chd2 knockdown and non-injected control zebrafish larvae at 5 dpf. (B-C) Local field potential (LFP) recording revealed epileptiform events in 5-dpf chd2 knockdown larvae; chd2 knockdown larvae exhibited an increase in ictal-like events compared to non-injected control larvae at 5 dpf, non-injected control larvae with a mean of 0.29 ± 0.18 (SEM), chd2 knockdown larvae with a mean of 3.29 ± 0.77, chd2 knockdown treated with 1 mM acetazolamide with a mean of 0.92 ± 0.29, chd2 knockdown treated with 100 μM fenfluramine overnight with a mean of 2.0 ± 0.64 ictal-like events. Statistical analysis by one-way ANOVA showed that treatment with 1 mM acetazolamide significantly reduced ictal-like events (p < 0.05), but that for 100 μM fenfluramine, the result was not significant (p > 0.29), with all groups passing the D'Agostino-Pearson normality test.

Acknowledgments
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